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Heath Education and Literacy Project (HELP)

Heath Education and Literacy Project (HELP). Com munity Service. Research. Education. Club Mission. HELP is a community service project dedicated to providing health education and increasing health literacy through lessons at local adult education centers.

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Heath Education and Literacy Project (HELP)

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  1. Heath Education and Literacy Project (HELP) Community Service. Research. Education.

  2. Club Mission • HELP is a community service project dedicated to providing health education and increasing health literacy through lessons at local adult education centers. • Additionally, our project seeks to teach medical students how to become advocates for public health and health literacy, as well as proficient counselors on health issues affecting the most vulnerable segments of the population. • The Health Education Literacy Project seeks to foster a spirit of learning by integrating a research component to assess the success of our interventions. • The final goal is to reduce health disparities in underserved communities through education and the publication of scholarly work.

  3. Why HELP? • Educational inequities and health disparities exist. • HELP exists because there are people in the greater NYC area (and country) who lack health education AND have low health literacy. • We are working to improve the health knowledge and health literacy of the learners that we serve. • We also hope to improve student’s understanding of their risk for particular health conditions, and hope to motivate students to seek health services, if necessary.

  4. Health Literacy • “Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.” (HHS, 2000; IOM, 2004) • Stronger predictor of health than age, income, employment, education, and race (JAMA, 1999) • >1/3 of US adults have low health literacy (2003 NAAL; Kutner 2006) • Minorities and low SES at increased risk for low health literacy

  5. Health Knowledge • Health knowledge refers to one’s knowledge of specific health topics. • Individuals with low health literacy often lack knowledge or have misinformation about health topics. • Literacy impacts knowledge.

  6. Who We Are • Group of over 50 medical students at NYU • Mostly MS2’s (and now MS1’s), with MS2’s and MS4’s leading our research initiative • Program began in 2009 • Has expanded from 12 medical students

  7. What We Do • Designed user-friendly, low literacy lesson plans • Teach lessons at an adult education site in Central Harlem: • Nutrition • Hypertension • Diabetes • Conduct pre- and post- semester surveys • Analyze results at the end of each semester for scholarly purposes, and to assess our effectiveness as teachers

  8. RML Outreach Express Award • Primary Goals: • Incorporate technology into instruction • Promote access and use of MedlinePlus and MedlinePlus en Espanol • Revise curriculum to include sources for more information • Improve medical student understanding of patient education and health literacy concepts and resources

  9. Purchases • Two Pocket Projectors • 9 iPad 2 – 32 GB with WiFi • Productivity Apps (Keynote and GoodNotes

  10. Help Curriculum • 6 Lessons per Class: • Diabetes (2x – English and Spanish) • HTN (2x – English and Spanish) • Nutrition (2x – English and Spanish) • RML Grant  iPads and portable projectors • New, updated curriculum • 15 person collaboration

  11. Hypertension Curriculum

  12. Help Curriculum • Sample Lesson #1: • PPT Presentation • Group Activity • Small Group Review • Sample Lesson #2: • IRAT/GRAT- Based on information from Lesson #1 • Group Activity- Apply knowledge in clinical settings

  13. Outcomes • Spring 2013 – Four classes (six sessions each) taught • Two for diabetes and two for hypertension • About 15 participants per class – 60 participants overall • Participants enjoyed learning how to use the iPads • Participants liked the interactive modules • Medical students liked having the flexibility and interactivity provided by the technology

  14. Challenges • Hurricane Sandy in Fall 2012 • Teaching location closed • Student leaders • New leaders every year • Community contacts • New community contacts not as invested

  15. Future Plans • Work with health literacy faculty advisor to re-establish program • Recruit and train new student leaders • Find new community contacts

  16. Thanks! • HELP President 2010-2011: Lauren Antler • Co-Presidents 2011-2012: Alex Dillon and Sue Boddu • Co-Presidents 2012-2013: Kathryn Iwata and Julie Kokinos AND • NN/LM Middle Atlantic Region This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-C with the University of Pittsburgh, Health Sciences Library System.

  17. A Clinical Information Tool for Community Health Centers funded by the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-C with the University of Pittsburgh, Health Sciences Library System Charles B. Wessel, John LaDue & Julia Dahm Health Sciences Library System - University of Pittsburgh

  18. Used with permission National Association of Community Health Centers.  2013.  "Community Health Centers at a Glance" Fact Sheet #S0313.  Available at:  http://www.nachc.org/client/documents/Infographic--CHCs.pdf

  19. Project OVERVIEW clinical information tool for community health centers • Develop, evaluate and validate a search tool that maximizes the use of freely available relevant Internet clinical resources • Target audience for the tool • Primary care health professionals practicing in community health care settings • Lack access to a medical library • Expensive licensed information tools and resources are cost prohibitive

  20. Project team–clinical information tool for community health centers John LaDue Knowledge Integration Librarian jol25@pitt.edu Julia Dahm Technology Services Librarian jdahm@pitt.edu Charlie Wessel Head of Research and Reference Initiatives cbw@pitt.edu

  21. Project phases clinical information tool for community health centers

  22. feasibility study 2012-2013 clinical information tool for community health centers

  23. The Tool –feasibility study 2012-2013 clinical information tool for community health centers

  24. The Tool –feasibility study 2012-2013 clinical information tool for community health centers

  25. Results - feasibility study 2012—2013 clinical information tool for community health centers

  26. Project phases clinical information tool for community health centers

  27. Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  28. The Tool –Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  29. The Tool –Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  30. Study Participants – 5 clinical experts –Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  31. Usability Interview tasks Demonstration & Evaluation study 2013-2014clinical information tool for community health centers

  32. Usability Interview tasks Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers Found information to answer most of the clinical usability tasks.

  33. Study Participants –clinical experts’ Suggestions –Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  34. Summation of Tool Components – Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  35. Summation of Tool Components–Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  36. What was bad or did not work with the site? • Are there solutions (fixes) to address #2? • If yes what are the solutions? • If no, why are there no solutions?  • Can we move to the next evaluation phase as proposed? Team Questions–Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers

  37. Conclusions - Demonstration & Evaluation study 2013-2014 clinical information tool for community health centers Open Access Clinical: • Provides free clinical resources of high quality • Can answer primary care providers clinical questions • Will highlight and maximize the use of National of Library of Medicine resources in a clinical setting • Can be deployed and tested using “real” primary care clinical questions through a validation study.  

  38. Project phases clinical information tool for community health centers Site Upgrades Stay Tuned!

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